Breast Augmentation: Cost, Reviews, Photos

62 year old women that can’t have intercourse because of the pain. I feel bruised inside

Ideal Candidate
Mar 22, 2017

What you are describing are two of the classic Genitourinary Symptoms of Menopause: burning and painful intercourse. There are two excellent medical journal articles documenting effectiveness of Mona Lisa Touch Laser therapy in breast cancer patients. Assuming you have no other issues that would preclude Mona Lisa Touch Laser Therapy (there are a few), you sound like an ideal candidate.

Is this a normal looking vagina? Would MLT benefit me at all?

MLT for Laxity
Mar 18, 2017

It looks like you have a little “laxity” there but not unexpected for your age. To confirm this, you would need an appt. with, preferably, a Urologist or Gynecologist specializing in female pelvic medicine. Be careful with treatments to correct a “loose” vagina. This often involves a prolapse repair with trimming of vaginal mucosa, with the risk of the vaginal canal becoming too tight, which can make intercourse painful. Mona Lisa Touch may improve the laxity or looseness to a small extent,…

Sex After Vasectomy Reversal, How Long Does One Have to Wait?

3 Weeks
Feb 23, 2017

I suppose this answer will vary from surgeon to surgeon but I generally tell patients to avoid sex/ejaculation for three weeks. I then check a semen specimen three weeks later.

Is Intracytoplasmic Sperm Injection (ICSI) an Alternative to Reversal?

Yes.
Feb 20, 2017

Intracytoplasmic Sperm Injection is certainly an alternate option. Results vary from center to center, and surgeon to surgeon, so it may even a have similar success rate. However (again depends on fertility center and/or surgeon) typically ICSI is more expensive. This factors in cost of female hyperstimulation, egg harvest, male sperm retrieval, incidence of multiple births, etc. I like a “combined” approach, wherin I offer the couple the option of having the embryologist…

When will There be Sperm in The Semen After a Reversal?

Many Variables to Consider
Feb 12, 2017

First of all, there is no guarantee that you will ever have sperm in your ejaculate after vasectomy. It’s conceivable that your testicles are not making sperm anymore, or damage to stem cells has been extensive and they may not recover. However, 85-95% of patients will have sperm in their ejaculate after vasectomy reversal eventually. If your vasectomy reversal required only vasovasostomy on both sides, you should expect return of sperm to ejaculate within 12 months. If not, then the…

Does the MonaLisa Laser therapy do anything to relieve hot flashes and sleep problems?

Hot Flashes No – Sleep Problems Maybe
Feb 10, 2017

Hot flashes during peri or post menopause is due to decrease in estrogen levels circulating in your blood. Mona Lisa Touch will not affect this and you are better served seeing your gynecologist for treatment options.
Mona Lisa Touch may help your getting up at night to urinate (known as nocturia). The first thing you should do is complete a “3-Day Voiding Diary”(see link). You should review it with your Urologist or Gynecologist, and try to determine the exact cause of your nocturia. If you…

Mona Lisa Pain for Older women?

Pain in Older Women
Feb 3, 2017

There is no data suggesting that Mona Lisa Touch is more painful in older women. However, some women may just experience more pain than others, especially with the external treatment. And yes it’s true that on internal treatments, more energy is delivered during the second and third treatments(the number of pulses in one spot with each firing of the laser, known as the “Smart Stack). We use a propietrary mixture of benzocaine, tetracaine, and lidocaine cream, and have had minimal to zero…